title: [Spontaneous ovarian hyperstimulation syndrome in a pregnancy with hypothyroidism].
abstract: We report the management of spontaneous ovarian hyperstimulation syndrome in a 23-year-old patient, diagnosed at 8 gestational weeks, in a context of moderate hypothyroidism. The etiology of spontaneous ovarian hyperstimulation syndrome should seek hypersecretion of glycoprotein hormones (hCG, TSH, FSH and LH) and/or mutation of FSH and LH receptors. It will eliminate an incipient ovarian neoplasia. The laparoscopic exploration can be done if diagnosis doubt persists. A diagnostic algorithm can be proposed.
authors.affiliation: Service de gynécologie-obstétrique, CHU, 58 rue Montalembert, Clermont-Ferrand cedex 1, France. adelabaere@chu-clermontferrand.fr
authors.forename: A
authors.initials: A
authors.lastname: Delabaere
authors.forename: X
authors.initials: X
authors.lastname: Tran
authors.forename: K
authors.initials: K
authors.lastname: Jardon
authors.forename: J-L
authors.initials: JL
authors.lastname: Pouly
authors.forename: N
authors.initials: N
authors.lastname: Bourdel
mesh_terms: D015746:Abdominal Pain; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000077465:Cabergoline; D006063:Chorionic Gonadotropin / Q000097:blood; D004873:Ergolines / Q000627:therapeutic use; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005640:Follicle Stimulating Hormone / Q000097:blood; D005865:Gestational Age; D006111:Graves Disease / Q000601:surgery; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000188:drug therapy; D007986:Luteinizing Hormone / Q000097:blood; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D011247:Pregnancy; D011248:Pregnancy Complications; D013965:Thyroidectomy; D013972:Thyrotropin / Q000097:blood
chemical_list: D000305:Adrenal Cortex Hormones; D006063:Chorionic Gonadotropin; D004873:Ergolines; D005343:Fibrinolytic Agents; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone; D013972:Thyrotropin; D000077465:Cabergoline